Organization Name: | ATLANTIS MEDICAL EQUIPMENTS & SUPPLY COMPANY, LLC |
NPI Number: | 1336161272 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHINWENDU IKE MBANUGO (PRESIDENT /CEO) |
Mailing Address: | 30900 Ford Rd Suite F Garden City |
State: | MI US |
Postal Code: | 481351892 |
Phone Number: | 7342660575 |
Fax Number: | 7342660971 |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 02/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4862749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |